Provider Demographics
NPI:1144331273
Name:SCHULKIN, MARCI ROBIN (MS CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:ROBIN
Last Name:SCHULKIN
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4965 N HEMINGWAY CIR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5388
Mailing Address - Country:US
Mailing Address - Phone:954-975-0615
Mailing Address - Fax:954-975-0615
Practice Address - Street 1:4965 N HEMINGWAY CIR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5388
Practice Address - Country:US
Practice Address - Phone:954-975-0615
Practice Address - Fax:954-975-0615
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA4197235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist